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A Rare Cause of Nasal Obstruction: Concha Bullosa of the Inferior Turbinate

Year 2014, Volume: 21 Issue: 2, 145 - 147, 01.04.2014

Emrah Sapmaz Hilal Irmak Sapmaz Yüksel Toplu Ramazan Öçalan Işıl Çakmak Karaer

Abstract

Concha bullosa of the inferior turbinate is an extremely rare anatomic malformation. Inferior concha bullosa is the structure with air sacs on the inferior turbinate body and may be associated with maxillary sinus. Inferior concha bullosa is generally asymptomatic and diagnosed incidentally by computed tomography. Its main clinical symptoms are nasal obstruction, headache, and postnasal drip. Several techniques have been suggested as treatment options. With this study, we intend to report the case of a 23 year old woman who has nasal obstruction, headache, and postnasal drip was diagnosed with inferior, middle and superior concha bullosa and we have performed laterization through radiofrequency ablation on inferior turbinate and partial resection on the middle turbinate. Key words: Inferior Concha Bullosa; Nasal Congestion; Computed Tomography.

Keywords

Inferior Concha Bullosa; Nasal Congestion; Computed Tomography.

References

  • Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56- 64.
  • Unlu HH, Altuntas A, Aslan A, Eskiizmir G, Yucel A. Inferior concha bullosa. J Otolaryngol 2002;31:62-4.
  • Dawlaty EE. Inferior concha bullosa--a radiological and clinical rarity. Rhinology 1999;37:133-5.
  • Dogru H, Doner F, Uygur K, Gedikli O, Cetin M. Pneumatized inferior turbinate. Am J Otolaryngol 1999;20:139-41.
  • Pittore B, Al Safi W, Jarvis SJ. Concha bullosa of the inferior turbinate: an unusual cause of nasal obstruction. Acta Otorhinolaryngol Ital;31:47-9.
  • Braun H, Stammberger H. Pneumatization of turbinates. Laryngoscope 2003;113:668-72.
  • Spear SA, Brietzke SE, Winslow C. Bilateral bifid inferior turbinates. Ann Otol Rhinol Laryngol 2003;112:195-6.
  • Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr 1988;12:778-84.
  • Yang BT, Chong VF, Wang ZC, Xian JF, Chen QH. CT appearance of pneumatized inferior turbinate. Clin Radiol 2008;63:901-5.
  • Christmas DA, Jr., Merrell RA, Jr., Mirante JP, Yanagisawa E. Pneumatized inferior turbinate: report of three cases. Ear Nose Throat J 2004;83:152-3.
  • Aydin O, Ustundag E, Ciftci E, Keskin IG. Pneumatization of the inferior turbinate. Auris Nasus Larynx 2001;28:361-3.
  • Kiroglu AF, Cankaya H, Yuca K, Kara T, Kiris M. Isolated turbinitis and pneumatization of the concha inferior in a child. Am J Otolaryngol 2007;28:67-8.
  • Gocmen H, Oguz H, Ceylan K, Samim E. Infected inferior turbinate pneumatization. Eur Arch Otorhinolaryngol 2005;262:979-81.
  • Ozcan KM, Gedikli Y, Ozcan I, Pasaoglu L, Dere H. Microdebrider for reduction of inferior turbinate: evaluation of effectiveness by computed tomography. J Otolaryngol Head Neck Surg 2008;37:463-8. www.totmdergisi.org
  • Cannon CR. Endoscopic management of concha bullosa. Otolaryngol Head Neck Surg 1994;110:449-54.
  • Clement WA, White PS. Trends in turbinate surgery literature: a 35-year review. Clin Otolaryngol Allied Sci 2001;26:124-8.

Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza

Year 2014, Volume: 21 Issue: 2, 145 - 147, 01.04.2014

Emrah Sapmaz Hilal Irmak Sapmaz Yüksel Toplu Ramazan Öçalan Işıl Çakmak Karaer

Abstract

İnferior konka bülloza oldukça nadir görülen bir anatomik varyasyondur. İnferior konka bülloza, inferior konkanın kemik lamelinin içerisinde hava keseciğinin olmasıdır ve bazen bu hava kesesi maksiller sinüslede alakalı olabilir. Genellikle asemptomatiktir ve görüntüleme yöntemleriyle tesadüfen tespit edildir. Bazen burun tıkanıklığı, baş ağrısı ve geniz akıntısı gibi semptomlarla neden olabilir. Tedavisinde çeşitli teknikler tarif edilmiştir. Biz bu makalede 23 yaşında burun tıkanıklığı, baş ağrısı ve geniz akıntısı nedeniyle kliniğimize baş vuran ve üst orta ve alt konklarda konka bülloza tespit ettiğimiz,,inferior konka büllozanın tedavisinde lateralizasyon ve radyofrekansla ablasyon yaptığımız aynı zamanda orta konka büllozaya parsiyel rezeksiyon uyguladığımız bir bayan vakayı sunduk. Anahtar kelimeler: Alt Konka Bülloza; Nazal Tıkanıklık; Bilgisayarlı Tomografi.

Keywords

Alt Konka Bülloza; Nazal Tıkanıklık; Bilgisayarlı Tomografi.

References

  • Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56- 64.
  • Unlu HH, Altuntas A, Aslan A, Eskiizmir G, Yucel A. Inferior concha bullosa. J Otolaryngol 2002;31:62-4.
  • Dawlaty EE. Inferior concha bullosa--a radiological and clinical rarity. Rhinology 1999;37:133-5.
  • Dogru H, Doner F, Uygur K, Gedikli O, Cetin M. Pneumatized inferior turbinate. Am J Otolaryngol 1999;20:139-41.
  • Pittore B, Al Safi W, Jarvis SJ. Concha bullosa of the inferior turbinate: an unusual cause of nasal obstruction. Acta Otorhinolaryngol Ital;31:47-9.
  • Braun H, Stammberger H. Pneumatization of turbinates. Laryngoscope 2003;113:668-72.
  • Spear SA, Brietzke SE, Winslow C. Bilateral bifid inferior turbinates. Ann Otol Rhinol Laryngol 2003;112:195-6.
  • Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr 1988;12:778-84.
  • Yang BT, Chong VF, Wang ZC, Xian JF, Chen QH. CT appearance of pneumatized inferior turbinate. Clin Radiol 2008;63:901-5.
  • Christmas DA, Jr., Merrell RA, Jr., Mirante JP, Yanagisawa E. Pneumatized inferior turbinate: report of three cases. Ear Nose Throat J 2004;83:152-3.
  • Aydin O, Ustundag E, Ciftci E, Keskin IG. Pneumatization of the inferior turbinate. Auris Nasus Larynx 2001;28:361-3.
  • Kiroglu AF, Cankaya H, Yuca K, Kara T, Kiris M. Isolated turbinitis and pneumatization of the concha inferior in a child. Am J Otolaryngol 2007;28:67-8.
  • Gocmen H, Oguz H, Ceylan K, Samim E. Infected inferior turbinate pneumatization. Eur Arch Otorhinolaryngol 2005;262:979-81.
  • Ozcan KM, Gedikli Y, Ozcan I, Pasaoglu L, Dere H. Microdebrider for reduction of inferior turbinate: evaluation of effectiveness by computed tomography. J Otolaryngol Head Neck Surg 2008;37:463-8. www.totmdergisi.org
  • Cannon CR. Endoscopic management of concha bullosa. Otolaryngol Head Neck Surg 1994;110:449-54.
  • Clement WA, White PS. Trends in turbinate surgery literature: a 35-year review. Clin Otolaryngol Allied Sci 2001;26:124-8.
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Emrah Sapmaz This is me

Hilal Irmak Sapmaz This is me

Yüksel Toplu This is me

Ramazan Öçalan This is me

Işıl Çakmak Karaer This is me

Publication Date April 1, 2014
Published in Issue Year 2014 Volume: 21 Issue: 2

Cite

APA Sapmaz, E., Sapmaz, H. I., Toplu, Y., Öçalan, R., et al. (2014). Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza. Journal of Turgut Ozal Medical Center, 21(2), 145-147.
AMA Sapmaz E, Sapmaz HI, Toplu Y, Öçalan R, Karaer IÇ. Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza. J Turgut Ozal Med Cent. April 2014;21(2):145-147.
Chicago Sapmaz, Emrah, Hilal Irmak Sapmaz, Yüksel Toplu, Ramazan Öçalan, and Işıl Çakmak Karaer. “Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza”. Journal of Turgut Ozal Medical Center 21, no. 2 (April 2014): 145-47.
EndNote Sapmaz E, Sapmaz HI, Toplu Y, Öçalan R, Karaer IÇ (April 1, 2014) Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza. Journal of Turgut Ozal Medical Center 21 2 145–147.
IEEE E. Sapmaz, H. I. Sapmaz, Y. Toplu, R. Öçalan, and I. Ç. Karaer, “Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza”, J Turgut Ozal Med Cent, vol. 21, no. 2, pp. 145–147, 2014.
ISNAD Sapmaz, Emrah et al. “Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza”. Journal of Turgut Ozal Medical Center 21/2 (April 2014), 145-147.
JAMA Sapmaz E, Sapmaz HI, Toplu Y, Öçalan R, Karaer IÇ. Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza. J Turgut Ozal Med Cent. 2014;21:145–147.
MLA Sapmaz, Emrah et al. “Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza”. Journal of Turgut Ozal Medical Center, vol. 21, no. 2, 2014, pp. 145-7.
Vancouver Sapmaz E, Sapmaz HI, Toplu Y, Öçalan R, Karaer IÇ. Burun Tıkanıklığının Nadir Bir Sebebi: İnferior Konka Bülloza. J Turgut Ozal Med Cent. 2014;21(2):145-7.